The most typical type of bike for people with SCI are recumbent handcycles (sitting or laying down with feet in front). Depending on the type of cycling you want to do, the positions vary: sitting upright for more casual riding or laying down for more aerodynamic, aggressive riding. For those with high amounts of trunk stability, kneeling handcycles are an option, though they are generally used by amputees and those with other lower limb impairments.
For incomplete SCIs where some leg functionality is retained, foot-pedaled trikes can be a good option. They are typically still 3-wheeled (thus the name “trike”) to solve any balance issues.
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